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DR. JAY D KOONTZ DC
NPI 1801956404
Chiropractor in North Webster, IN

Active since December 12, 2006
118 S MAIN ST, NORTH WEBSTER, IN 46555(574) 834-7855(574) 834-7935 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jay D Koontz Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY D KOONTZ DC (NPI 1801956404) is an individual chiropractor in North Webster, Indiana, licensed in Indiana (08001901A) and active in the NPI registry since December 2006. He is a graduate of Palmer College Chiropractic - Davenport (1997).

NPPES Registry Identity

NPI1801956404
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JAY D KOONTZCredential: DC
Location Address118 S MAIN STNorth Webster, IN 46555
Mailing AddressPo Box 579North Webster, IN 46555-0579 · (574) 834-7855 · Fax (574) 834-7935
Phone(574) 834-7855
Fax(574) 834-7935
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1997
Enumeration DateDecember 12, 2006
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1801956404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08001901A
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
118 S MAIN ST, North Webster, IN 46555
Open in Google Maps ↗

Other Identifiers 3

Other000000210120IN · Anthem Bc Bs
Medicare UPINU71212IN
Medicare ID-Type Unspecified189750IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jay D Koontz Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385659333
PECOS Enrollment IDI20060213000109

Medicare Billing Reassignment

Medicare enrollment records show Jay Koontz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeland Spinal Health PC
Same address
Chiropractor
118 S MAIN ST
North Webster, IN 46555
  • Reassigned Medicare billing, Indiana enrollment
NPI 1215258546 (574) 834-7855

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
76 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKELAND SPINAL HEALTH PC
Chiropractor
118 S MAIN ST
NORTH WEBSTER, IN 46555
Kosciusko County (574) 834-7855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Koontz's NPI number?

The NPI number for Jay Koontz is 1801956404. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jay Koontz located?

Jay Koontz practices at 118 S Main St, North Webster, IN 46555. The listed phone number is (574) 834-7855.

What is Jay Koontz's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jay Koontz enrolled in Medicare?

Yes. Jay Koontz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay Koontz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Koontz reassigns Medicare benefits to Lakeland Spinal Health PC (North Webster, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Koontz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jay Koontz was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.